Universität zu Köln

Pfaff, Holger ORCID: 0000-0001-9154-6575, Pfoertner, Timo-Kolja, Banaszak-Holl, Jane ORCID: 0000-0002-6896-600X, Hu, Yinhuan and Hower, Kira (2022). Is the Systemic Agency Capacity of Long-Term Care Organizations Enabling Person-Centered Care during the COVID-19 Pandemic? A Repeated Cross-Sectional Study of Organizational Resilience. Int. J. Environ. Res. Public Health, 19 (9). BASEL: MDPI. ISSN 1660-4601

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Abstract

The COVID-19 pandemic has strained long-term care organization staff and placed new demands on them. This study examines the role of the general ability and power of a long-term care organization to act and react collectively as a social system, which is called systemic agency capacity, in safeguarding the provision of person-centered care during a crisis. The question of how the systemic agency capacity of long-term care organizations helps to ensure person-centered care during the pandemic is an open research question. We conducted a pooled cross-sectional study on long-term care organizations in Germany during the first and second waves of the pandemic (April 2020 and December 2020-January 2021). The sample consisted of 503 (first wave) and 294 leaders (second wave) of long-term care organizations. The top managers of these facilities were asked to report their perceptions of their facility's agency capacity, measured by the AGIL scale, and the extent to which the facility provides person-centered care. We found a significant positive association between the leaders' perceptions of systemic agency capacity and their perceptions of delivered person-centered care, which did not change over time. The results tentatively support the idea that fostering the systemic agency capacity of long-term care organizations facilitates their ability to provide quality routine care despite environmental shocks such as the COVID-19 pandemic.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED Pfoertner, Timo-Kolja UNSPECIFIED UNSPECIFIED UNSPECIFIED Banaszak-Holl, Jane UNSPECIFIED orcid.org/0000-0002-6896-600X UNSPECIFIED Hu, Yinhuan UNSPECIFIED UNSPECIFIED UNSPECIFIED Hower, Kira UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-672921
DOI:	10.3390/ijerph19095045
Journal or Publication Title:	Int. J. Environ. Res. Public Health
Volume:	19
Number:	9
Date:	2022
Publisher:	MDPI
Place of Publication:	BASEL
ISSN:	1660-4601
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HOSPITAL MANAGEMENT BOARDS; EUROPEAN HOSPITALS; CULTURE-CHANGE; ONLINE SURVEY; NURSING-CARE; SUPPORT; CHALLENGES; RESIDENT Multiple languages Environmental Sciences; Public, Environmental & Occupational Health Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/67292